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IUI is more commonly done when the man has a low sperm count, decreased sperm motility, or when infertility does not have an identifiable cause. 8,46 Obesity impairs fertility and the response to fertility treatments, including in vitro fertilization; therefore, it is advisable to counsel patients who are obese to lose weight before conception or infertility treatments. IVF and other fertility treatments have resulted in an increase in multiple births, provoking ethical analysis because of the link between multiple pregnancies, premature birth, and a host of health problems. This may be because the ovaries do not contain eggs. Other medical techniques are e.g. tuboplasty, assisted hatching, and preimplantation genetic diagnosis. Klinefelter�s Syndrome: Is a genetic condition in which each cell in the human body has an additional X chromosome--men with Klinefelter�s Syndrome have one Y and two X chromosomes.  Physical symptoms include peanut-sized testicles and enlarged breasts.  A chromosome analysis is used to confirm this analysis.  If this condition is treated in its early stages (with the drug hCG), sperm production may commence and/or improve.  However, Klinefelter�s Syndrome eventually causes all active testicular structures to atrophy.  Once testicular failure has occurred, improving fertility is impossible.

Normal Intrauterine Pregnancy After Reversal of Tubal Sterilization in the Wife and Vasectomy in the Husband.(PDF, 1 MB) Fertility and Sterility, 1978. A normal testicle contains 600-1200 seminiferous tubules with a total length of approximately 250 meters.

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The impact of small or single polyps is more controversial. If the RSAT is negative, the bitch is presumed to be Brucella-free; if positive, further confirmatory laboratory testing is indicated (eg, AGID, PCR, 2-mercapto-ethanol RSAT). It is also non-flammable, which is important because electrosurgical devices are commonly used in laparoscopic procedures.[3] Procedures[edit] Surgeons perform laparoscopic stomach surgery.

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A systematic review of tests predicting ovarian reserve and IVF outcome. This means it’s more difficult to become pregnant and the chance of miscarriage is higher.  Unexplained infertility  Sometimes, doctors are unable to find the reason for infertility, despite running the required fertility tests.

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Such tissue growth and its surgical removal can cause scarring and prevent fertilization.  Uterine and cervical causes  Problems in the uterus or cervix may also affect fertility. Treatment of tubal obstruction generally requires referral for subspecialty care. Endometriosis is usually more common in women in their mid-twenties and older, especially when postponed childbirth has taken place.[55] Another major cause of infertility in women may be the inability to ovulate. Some diseases: Conditions that are sometimes linked to lower fertility in males are anemia, Cushing's syndrome, diabetes, and thyroid disease. Testicular Transplantation and Autotransplantation. (PDF, 8 MB) Chapter 22 of textbook, Extracorporeal and Microvascular Surgery, 1982. Each day of abstinence is typically associated with an increase in semen volume of 0. Those who do have fertility problems are treated according to the following guidelines: [112, 113, 114] Chronic cervical factor of absence of mucus - Intrauterine insemination Cervical incompetence - Cerclage Damage/absence of fallopian tubes (ectopic) - In vitro fertilization Unicornuate uterus A unicornuate uterus remains undetected unless fertility is compromised. This test is based on the fact that the ovaries produce progesterone in the second half of the menstrual cycle after a woman has ovulated. Treatment The cost of infertility treatment is high [34]. This technique involves an injection of a single healthy sperm directly injected into mature egg. Unhealthy living and poor eating habits, as well as exposure to toxic substances such as alcohol, tobacco and other contaminants, also have a negative impact on fertility. They can often recommend a counselor and others who can offer appropriate support. Bilateral anorchia (vanishing testes syndrome) Patients have a normal male karyotype (46, XY) but are born without testis bilaterally. Male and female factors can exist in isolation or combination and fertility investigations, diagnoses and treatment should always be considered in the context of the couple.       Male factor Sperm problems will contribute to about 40% of infertility cases. Vascular injuries can result in hemorrhage that may be life-threatening. At least one open tube is required for IUI, and the sperm abnormality cannot be severe otherwise the sperm will not be able to swim to and fertilize the egg.